Mod 8: Sclerotherapy, Prolotherapy, & Lubricants Flashcards
What is Sclerotherapy?
Sclerotherapy involves the injection of a solution (usually salty) into a tissue such as vein or nerve.
Causes irritation in the lining of blood vessels, lymph vessels and nerves.
Leading to blood in vessels clotting, and to desiccate
Sclerotherapy remains the primary treatment for small vessel varicose disease of the foot and lower extremity but what do this include?
Telangiectasias
Venulectasias
Reticular Ectasia’s
What are Telangiectasias?
Red
Flat vessels
1mm or smaller in diameter.
What are Venulectasias?
Blue
Sometime distended above the skin
2mm or smaller in diameter
What are Reticular Ectasias?
Reticular veins
Cyanotic Hue
2-4mm in diameter
Which vessels respond best to Sclerotherapy, LARGE or SMALL?
SMALL
What are the major indications for using Sclerotherapy?
Improve cosmetic appearance
Reduce associated symptoms such as burning and pain.
To Rx remnant tributaries after endovenous laser ablation of Saph or truncal vessel.
Contra-indications to Sclerotherapy are?
Pregnancy Thrombophlebitis Pulmonary emboli Hypercoagulable states Allergy to Sclerosing agent
Which Diagnostic method is used to diagnose veinous disease?
Duplex Ultrasonography
Visual Sclerotherapy is what?
Injections without the use of Ultrasonography
Duplex guided Sclerotherapy (endovenous chemical ablation) is what?
Injection guided with Duplex Ultrasonography
The most common agents used in Sclerotherapy are what?
Hypertonic Saline (23.4%)
Sodium Tetradecyl Sulphate
Polidocanol
Chromated Glycerin
Should Sclerotherapy start with proximal or distal vessels?
Proximal: Varicose veins
Reticular veins
Talengeictasias
Ambulation should begin how soon after injection and compression bandage is applied?
IMMEDIATELY
What gauge needle is best used for Sclerotherapy?
30g bevel up to gauge depth